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New Haven Health Department 2011 Annual Report

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New Haven Health Department 2011 Annual Report New Haven Health Department 2011 Annual Report John DeStefano, Jr. Mayor Dr. Mario Garcia, MPH Director of Public Health Ensuring the health and well-being of all New Haven residents. NEW HAVEN HEALTH DEPARTMENT MISSION To advocate for and ensure the health and well-being of all New Haven residents. TABLE OF CONTENTS Mission Statement Inside front cover Table of Contents 1 New Haven Health Department Program Structure 2 Letter from the Director of Public Health 3 2011 Health Department Highlights 4 Towards Health Equity: Envisioning a Healthy City 6 Public Health Nursing 7 Combating Asthma in New Haven 10 Environmental Health 12 Consumer Protection 18 Maternal and Child Health 19 Health Programs 22 Epidemiology 25 Vital Statistics 28 Preventive Medicine 29 Emergency Preparedness 31 Administrative Services 33 New Haven Health Department Organizational Chart 35 New Haven Health Department Contact Information 36 New Haven Board of Health Members 41 New Haven Health Department Executive Staff 41 Map of New Haven 42 1 New Haven Health Department Program Structure - 2011 2 Letter from the Director of Public Health Dear Fellow Elm City Resident: The New Haven Health Department staff is proud to continue a tradition of fulfilling and assuring the interest of City residents to have conditions in which people can be healthy. Over the last year, the various programs in the Department tracked and monitored trends of communicable diseases, ensured the safety of the food delivery system, continued educating the public on health issues, assisted parents and children at high risk, and prepared for and responded to disease outbreaks and emergencies. This past year, the Health Department also aligned efforts with the City priorities around school reform by both strengthening the organization and delivery of nursing services and focusing on projects such asthma control and improved nutrition, which ensure students are healthy and fit to obtain academic success. As the practice of public health has shifted over the years to focus on prevention of chronic diseases, the Department strives to structure its organization and programs to address newer challenges such as health inequities and the increasing burden of chronic disease risk factors. To address disparities in health outcomes, the New Haven Health Department is embracing a form of public health practice, which questions traditional thinking and prevailing assumptions. While the agency maintains a service-oriented mission, the Department has also sought to enhance its capacity to process local health information and to attract resources from government and private funding agencies. The Health Department, as many other health authorities across the nation, is carefully tracking the developments associated with the implementation of the Affordable Care Act. With the enactment of this law came the creation of the most substantial effort in a long time to fund Public Health infrastructure, community-based health programs and prevention initiatives. This includes the creation of the largest ever Prevention and Public Health Fund and the issuing of the first National Prevention Strategy, which offers an unprecedented opportunity to build up the necessary local infrastructure for carrying out comprehensive public health functions. The New Haven Health Department continues building partnerships to access those resources and to enhance municipal capacity to reduce health disparities and promote conditions for a healthier City. Mario Garcia, MD, M.Sc. MPH Director of Public Health 3 2011 HEALTH DEPARTMENT HIGHLIGHTS Budget Staff General Funds $3,075,491 56 Special Funds $15,911,601 32 Fees Revenue $900,000 N/A BUREAU OF PUBLIC HEALTH NURSING The Bureau provided school health nursing services for approximately 20,000 pre- kindergarten through twelfth graders at 50 public and non-public school sites in New Haven. Of those students enrolled in the New Haven school system, 5,909 have at least one identified health problem. ASTHMA The mission of the Asthma Initiative is to reduce associated morbidity and mortality, reduce the number of lost days of work and absenteeism at school, and improve quality of life for people with asthma in New Haven. The Asthma Initiative has provided 100-200 people with asthma management supplies, as well as funded educational outreach to hundreds of City residents annually. BUREAU OF ENVIRONMENTAL HEALTH The Bureau of Environmental Health held its Eleventh Annual Lead Awareness Picnic in the carousel building on June 12, 2011 at Lighthouse Point Park. The event drew over 450 participants. The Bureau’s fourth U.S. Department of Housing and Urban Development (HUD) Lead Hazard Control Grant which began on January 1, 2009, ended on December 31, 2011. Through this program over 234 privately owned housing units were lead abated with the $2,000,000 in federal funds made available as deferred forgivable loans. CONSUMER PROTECTION – WEIGHTS AND MEASURES The Weights and Measures staff inspected 417 small capacity scales, 21 large capacity scales, 378 gas meters and 2 taxi meters. The total 2011 revenue produced by the staff was $32,122. MATERNAL AND CHILD HEALTH DIVISION In fiscal year 2011, the MCH Division’s HUSKY Program enrolled 989 pregnant or postpartum women and 759 children. One thousand two hundred thirty seven (1,237) clients were identified as self-pay or uninsured. The Division’s Nurturing Families Network (NFN) Program served 49 families in FY 2010-2011, including 59 children, completed 725 home visits, and conducted group sessions during which 18 families with 27 children participated. HEALTH PROGRAMS DIVISION The Health Department continued its partnership with Yale University’s CARE Program and other community organizations to implement the Healthy Corner Store Initiative. The Initiative was launched in the spring of 2011, with 4 stores selected to participate. For the sixth consecutive year, Health Department staff co-led Safe Kids Greater New Haven with Quinnipiac University’s Occupational Therapy Department. “Safe Kids” is a worldwide organization dedicated to reducing unintentional injury and death among children under the age of 15. 4 Ryan White Part A was awarded more than $7 million in 2011 to provide care services in New Haven and Fairfield counties. The Program provided services to 3,482 people living with HIV/AIDS in the region, of which 863 were New Haven residents. The Health Programs Division secured an additional three years of funding for the Syringe Exchange Program from the CT Department of Public Health. HIV Prevention staff distributed 36,934 syringes, provided 29 injection drug users with access to substance abuse treatment facilities, tested 279 individuals for HIV, and recruited 336 individuals to participate in the effective behavioral interventions, Safety Counts and Voices/Voces. HEALTH INFORMATION SERVICES: EPIDEMIOLOGY As part of the Health Equity Alliance and Health Matters!, Epidemiology led the development of a report on the public health impact of obesity in New Haven. Epidemiology participated in the development of a Community Health Needs Assessment and Health Improvement Planning process for New Haven in collaboration with Yale New Haven Hospital, Hospital of Saint Raphael, Yale School of Public Health, the New Haven Federally Qualified Health Clinics and DataHaven. HEALTH INFORMATION SERVICES: VITAL STATISTICS The Office of Vital Statistics preserves and records all births, deaths, civil unions and marriages that occur in New Haven or occur outside of the City to New Haven residents. In 2011, a total of 37,605 records were issued by the Office of Vital Statistics, including 1,298 marriage licenses, 10,888 certificates of death, and 17,148 certificates of birth, for a total revenue of $694,685. PREVENTIVE MEDICINE The Health Department distributed more than 400 seasonal flu vaccines at sites throughout the community, including Senior Citizens Centers, City Hall, Ecuadorian Consulate, and the Health Department clinic. The STD Clinic saw a total of 910 patients, diagnosed 34 cases of gonorrhea and 98 cases of Chlamydia, conducted 746 Syphilis tests, and tested 824 individuals for HIV/AIDS. OFFICE OF EMERGENCY PREPAREDNESS The Health Department staff distributed public health information; delivered food, water and ice to citizens in need; and inspected and monitored food establishments to ensure food safety as part of the Tropical Hurricane Irene response. The Office conducted a regional, full-scale exercise entitled “Rad-X.” The goal of the initiative was to give appropriate antibiotic prophylaxis to critical staff of local government, community institutions, and their families, quickly enough upon recognition of a confirmed anthrax attack to protect responders and to off-set the number of people who will be asked to come to the public point of dispensing site. This exercise demonstrated the Health Department can distribute and dispense medications in a timely manner and communicate effectively within established City and State communication channels. 5 HEALTHMATTERS! ENVISIONING A HEALTHY CITY Health is impacted by more than individual wide spectrum of community organizations behaviors and environmental factors; it is and agencies that meet monthly to help also impacted by social conditions, such as chart a course towards healthier education, transportation, employment, and communities. The initiative’s three aims are: housing. These conditions are known as the 1) Change the way we talk about health; “social
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